Search: onr:"swepub:oai:DiVA.org:oru-94784" >
Instantaneous wave-...
-
Berntorp, KarolinaLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
(author)
Instantaneous wave-free ratio compared with fractional flow reserve in PCI : A cost-minimization analysis
- Article/chapterEnglish2021
Publisher, publication year, extent ...
-
Hindawi Publishing Corporation,2021
-
printrdacarrier
Numbers
-
LIBRIS-ID:oai:DiVA.org:oru-94784
-
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-94784URI
-
https://doi.org/10.1016/j.ijcard.2021.09.054DOI
-
https://lup.lub.lu.se/record/631070a7-08f9-413e-acec-375226b97981URI
-
https://gup.ub.gu.se/publication/308271URI
Supplementary language notes
-
Language:English
-
Summary in:English
Part of subdatabase
Classification
-
Subject category:ref swepub-contenttype
-
Subject category:art swepub-publicationtype
Notes
-
Funding agency:Philips Volcano
-
BACKGROUND: Coronary physiology is a routine diagnostic tool when assessing whether coronary revascularization is indicated. The iFR-SWEDEHEART trial demonstrated similar clinical outcomes when using instantaneous wave-free ratio (iFR) or fractional flow reserve (FFR) to guide revascularization. The objective of this analysis was to assess a cost-minimization analysis of iFR-guided compared with FFR-guided revascularization.METHODS: In this cost-minimization analysis we used a decision-tree model from a healthcare perspective with a time-horizon of one year to estimate the cost difference between iFR and FFR in a Nordic setting and a United States (US) setting. Treatment pathways and health care utilizations were constructed from the iFR-SWEDEHEART trial. Unit cost for revascularization and myocardial infarction in the Nordic setting and US setting were derived from the Nordic diagnosis-related group versus Medicare cost data. Unit cost of intravenous adenosine administration and cost per stent placed were based on the average costs from the enrolled centers in the iFR-SWEDEHEART trial. Deterministic and probabilistic sensitivity analyses were carried out to test the robustness of the result.RESULTS: The cost-minimization analysis demonstrated a cost saving per patient of $681 (95% CI: $641 - $723) in the Nordic setting and $1024 (95% CI: $934 - $1114) in the US setting, when using iFR-guided compared with FFR-guided revascularization. The results were not sensitive to changes in uncertain parameters or assumptions.CONCLUSIONS: IFR-guided revascularization is associated with significant savings in cost compared with FFR-guided revascularization.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
-
Persson, Josefine,1981Gothenburg University,Göteborgs universitet,University of Gothenburg,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xpejos
(author)
-
Koul, Sasha M.Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)med-sku
(author)
-
Patel, Manesh R.Duke University, Durham, NC, United States
(author)
-
Christiansen, Evald H.Department of Cardiology, Aarhus University Hospital, Skejby, Denmark
(author)
-
Gudmundsdottir, IngibjörgDepartment of Cardiology, Reykjavik University Hospital and University of Iceland, Reykjavik, Iceland
(author)
-
Yndigegn, TroelsLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)med-toy
(author)
-
Omerovic, Elmir,1968Gothenburg University,Göteborgs universitet,Wallenberglaboratoriet,Wallenberg Laboratory(Swepub:gu)xomeel
(author)
-
Erlinge, DavidLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)kard-der
(author)
-
Fröbert, Ole,1964-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiology(Swepub:oru)oft
(author)
-
Götberg, MatthiasLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)kard-mgo
(author)
-
KardiologiSektion II
(creator_code:org_t)
Related titles
-
In:International Journal of Cardiology: Hindawi Publishing Corporation344, s. 54-590167-52731874-1754
Internet link
Find in a library
To the university's database
- By the author/editor
-
Berntorp, Karoli ...
-
Persson, Josefin ...
-
Koul, Sasha M.
-
Patel, Manesh R.
-
Christiansen, Ev ...
-
Gudmundsdottir, ...
-
show more...
-
Yndigegn, Troels
-
Omerovic, Elmir, ...
-
Erlinge, David
-
Fröbert, Ole, 19 ...
-
Götberg, Matthia ...
-
show less...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Clinical Medicin ...
-
and Cardiac and Card ...
- Articles in the publication
-
International Jo ...
- By the university
-
Örebro University
-
Lund University
-
University of Gothenburg